IRMAA and Roth Conversions: How Much Fits Before the Next Tier

A Roth conversion counts as income, and IRMAA charges a full tier for $1 over an edge. See how much fits in each bracket and what crossing one costs.

Premium year

Both from your 2025 federal return. MAGI for IRMAA is AGI plus tax-exempt interest.

IRMAA tier 1 of 5
$284.10/mo Part B
MAGI $230,000: $218,001 – $274,000 bracket

Not tax or benefits advice. Check your own case with Social Security, which decides your IRMAA from what the IRS sends it, or a qualified tax professional.

2027 IRMAA brackets: joint returns

Provisional: the 2026 figures from CMS, until CMS publishes 2027 (expected November 2026).

TierMAGI (2025 return)Part B a monthPart D IRMAA a monthSurcharge a year
Standard$218,000 or less$202.90$0.00$0.00
Tier 1$218,001 – $274,000$284.10$14.50$1,148.40
Tier 2$274,001 – $342,000$405.80$37.50$2,884.80
Tier 3$342,001 – $410,000$527.50$60.40$4,620.00
Tier 4$410,001 – $749,999$649.20$83.30$6,355.20
Tier 5$750,000 or more$689.90$91.00$6,936.00

How much more income fits?

The most you could add to the MAGI above (before the extra income you're testing) and still land in each bracket, with that bracket's yearly cost. Income in one year sets the premiums two years later.

BracketAdd up toPart B + Part D IRMAA a year

Income dropped since then? Form SSA-44

IRMAA is based on income from two years earlier. If a life-changing event lowered your income since then, you can ask Social Security to use a more recent year with Form SSA-44. The events SSA lists: marriage, divorce or annulment, the death of a spouse, you or your spouse stopping or reducing work, losing income-producing property in a disaster or other event outside your control, a pension plan ending or being cut, and a settlement from an employer that closed, went bankrupt or reorganized. You need documents for the event and the lower income. If the income SSA used was simply wrong, or you filed an amended return, that is a different request (an appeal or a correction), not an SSA-44.

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This page opens with a married couple filing jointly, $180,000 of MAGI before any conversion and a planned $50,000 Roth conversion. Together that is $230,000, which puts both spouses in tier 1 because the joint standard bracket ends at $218,000. How much more income fits? shows the other way to read it: $38,000 of conversion keeps the couple at the standard premium.

How to use it for a conversion

  1. Enter the AGI you expect without the conversion, and any tax-exempt interest. For a future year, this is an estimate: pensions, Social Security that is taxable, dividends, required withdrawals.
  2. Put the conversion in Extra income to test. The tier, the premiums and the cliff line now include it.
  3. Read the room table. Each row is the most you could add and still be in that bracket, measured from your income without the conversion, with that bracket’s surcharge for a year.

The two-year lag and unknown brackets

Income in 2026 sets 2028 premiums, and CMS only publishes the 2028 brackets in late 2027. The calculator’s newest figures are for 2027 premiums (provisional until CMS publishes them in November). The edges moved up from 2025 to 2026, but how far they move next is not known in advance, so an amount just under an edge today may not be under it in 2028.

Spreading a conversion

Because IRMAA is decided one year at a time, a large conversion done in one year can cost a high tier once, while the same amount spread over several years may stay in a lower tier each year, or under the first edge entirely. The room table gives the yearly size that fits; the tax side of the decision is beyond this calculator.

Conversions on $180,000 of joint MAGI

Both spouses on Medicare with drug coverage, 2027 brackets (provisional). The surcharge is for the two of you, for the one premium year the conversion affects.

ConversionMAGI with itTierSurcharge a year, both
None$180,000StandardNone
$10,000$190,000StandardNone
$25,000$205,000StandardNone
$38,000$218,000StandardNone
$38,001$218,001Tier 1$2,296.80
$50,000$230,000Tier 1$2,296.80
$100,000$280,000Tier 2$5,769.60
$150,000$330,000Tier 2$5,769.60
$250,000$430,000Tier 4$12,710.40

Worked out with the calculator's engine. Provisional: CMS hadn't published 2027 figures as of October 18, 2026, so these are the official 2026 figures. Sources: CMS, 2026 Medicare Parts A & B Premiums and Deductibles; SSA, Premiums: Rules for Higher-Income Beneficiaries; SSA, Request to lower IRMAA (the life-changing events).

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Not tax or benefits advice. Check your own case with Social Security, which decides your IRMAA from what the IRS sends it, or a qualified tax professional.

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